CSP Survey Members' comments on
The following are a selection of comments from
respondents to our survey. They illustrate the feelings and reaction
of CSP members to the PFI projects experienced so far.
"Better for staff and patients due to better
facilitiesit's good to share with other disciplines."
"Worse than beforeI feel less committed."
"Have had to put patients at ease because
they think the services and the hospital are private, not NHS."Technical
Instructor Grade III."
"Generally feel valued by being provided
with a modern working environment with potential for increase
in service provision."
"Less of a team feeling."
"As many facilities staff are now employed
by contractors it feels less gelled as a staff unit."CSP
steward in orthopaedics.
"Am more uncertain about scope for development
of skills. More stress."Senior II physiotherapist,
"Swings and roundaboutssome things
are better, some worse. For patients using the mental health unit
the treatment they receive is better from a physio point of view,
but consideration for special diets, for example, is not catered
for. For patients spending time on the wards this has been a huge
issue. The staff that the PFI employ to serve meals and to clean
are not always helpful or appropriate, and have had no training
in dealing with people with mental health problems."Physio
Exercise Technician, Mental Health.
"The original physio unit was custom built
in 1987 and worked very well. The hospital has been refurbished
and the physio unit converted to a ward. The refurbished current
physio unit is part of the old houseless space, office
not in a good position, telephones difficult to use. There was
much consultation during the PFI process, but most if not all
suggestions (from staff) ignored on the grounds of cost (eg moving
doorways, ventilation etc). Any alterations require endless memosneither
the Trust nor the PFI people accept responsibility for payment
to fund small changes (eg privacy curtain for main door)."Senior
I physio, Community based.
"Patients and relatives are much more demanding
in new unitexpectations are far greater although we only
have the same number of staff."Senior I physio, Community.
"It (PFI) has just led to more red tape
and `buck passing' without any action or communication of what's
going to be done. Patients can't believe how it ever passed the
design phase and, clearly, disabled patients weren't consulted
and if they were it was ignored. I have been personally told by
a PFI employed person that their main concern is to keep their
shareholders happy!"Senior I physio, Rehabilitation.
"The PFI will doubtless lead to more generic
rehab staff and an increase in the use of non-qualified staff."Head
"Physiotherapy has been increased to cover
the increase in number of beds on ward and increase in outpatients."
"No out-patient facilities, no staff room,
no changing/shower facilities and importantly no staff car parking
provision leading to off-site parking miles away."
"Dissatisfied with enforced merger necessary
for PFI initiative."Senior II physiotherapist, Manchester.
"I'm very unhappylooking for alternative
employment now."Superintendent III.
"I am anxious that the paediatric `ethos'
of this hospital will be `engulfed' by our amalgamation with a
larger trust and also that some paediatric services will be reduced/poorer
quality, eg we may have to share A&E department."
"Generally, patients seem pleased but due
to lack of consultation there has been some major teething problems
(ie signposting of services). In hindsight, government should
have evaluated PFI initiatives further prior to rolling them out
throughout the NHS because once the contracts are signed negotiations
"It makes no sense to me to pay a private
company 10 or 20 times the price of a building to inherit an out-of-date
facility in approximately 30 years time!!"
"I no longer wish to work in acute unit
as PFI doesn't appear to meet some of the needs of older people."Senior
I, elderly rehabilitation.
"The working environment is very poor, in
a building poorly maintained ... raises significant health and
safety issues. PFI has not been fully thought through ... some
services now housed in unsuitable accommodation, including physiotherapy."Superintendent
III, mental health.
"Concern generally felt regarding the long-term
impact of PFI within the NHS and the impact upon patient care/resource
availability in the future. Also concern around freedom of decision
making in the future."anonymous respondent.